Le SIDA en Afrique subsaharienne (serveur d'exploration)

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Association of First-Line and Second-Line Antiretroviral Therapy Adherence

Identifieur interne : 002810 ( Pmc/Curation ); précédent : 002809; suivant : 002811

Association of First-Line and Second-Line Antiretroviral Therapy Adherence

Auteurs : Habib O. Ramadhani [Tanzanie] ; John A. Bartlett [États-Unis] ; Nathan M. Thielman [États-Unis] ; Brian W. Pence ; Stephen M. Kimani [États-Unis] ; Venance P. Maro [Tanzanie] ; Mtumwa S. Mwako ; Lazaro J. Masaki ; Calvin E. Mmbando ; Mary G. Minja [Tanzanie] ; Eileen S. Lirhunde [Tanzanie] ; William C. Miller

Source :

RBID : PMC:4281791

Abstract

Adherence to first-line ART is an important predictor of adherence to second-line ART. Improving adherence prior to switch is critical to improve patient outcomes.


Url:
DOI: 10.1093/ofid/ofu079
PubMed: 25734147
PubMed Central: 4281791

Links toward previous steps (curation, corpus...)


Links to Exploration step

PMC:4281791

Le document en format XML

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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Open Forum Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Open Forum Infect Dis</journal-id>
<journal-id journal-id-type="publisher-id">ofid</journal-id>
<journal-id journal-id-type="hwp">ofids</journal-id>
<journal-title-group>
<journal-title>Open Forum Infectious Diseases</journal-title>
</journal-title-group>
<issn pub-type="epub">2328-8957</issn>
<publisher>
<publisher-name>Oxford University Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25734147</article-id>
<article-id pub-id-type="pmc">4281791</article-id>
<article-id pub-id-type="doi">10.1093/ofid/ofu079</article-id>
<article-id pub-id-type="publisher-id">ofu079</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Major Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Association of First-Line and Second-Line Antiretroviral Therapy Adherence</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ramadhani</surname>
<given-names>Habib O.</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bartlett</surname>
<given-names>John A.</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
<xref ref-type="aff" rid="af4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thielman</surname>
<given-names>Nathan M.</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
<xref ref-type="aff" rid="af4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pence</surname>
<given-names>Brian W.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kimani</surname>
<given-names>Stephen M.</given-names>
</name>
<xref ref-type="aff" rid="af4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Maro</surname>
<given-names>Venance P.</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mwako</surname>
<given-names>Mtumwa S.</given-names>
</name>
<xref ref-type="aff" rid="af5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Masaki</surname>
<given-names>Lazaro J.</given-names>
</name>
<xref ref-type="aff" rid="af6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mmbando</surname>
<given-names>Calvin E.</given-names>
</name>
<xref ref-type="aff" rid="af7">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Minja</surname>
<given-names>Mary G.</given-names>
</name>
<xref ref-type="aff" rid="af8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lirhunde</surname>
<given-names>Eileen S.</given-names>
</name>
<xref ref-type="aff" rid="af8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Miller</surname>
<given-names>William C.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<aff id="af1">
<label>1</label>
<institution>Kilimanjaro Christian Medical Centre</institution>
,
<addr-line>Moshi</addr-line>
,
<country>Tanzania</country>
</aff>
<aff id="af2">
<label>2</label>
<addr-line>Department of Epidemiology</addr-line>
,
<institution>University of North Carolina</institution>
,
<addr-line>Chapel Hill</addr-line>
</aff>
<aff id="af3">
<label>3</label>
<addr-line>Division of Infectious Diseases and International Health, Department of Medicine</addr-line>
,
<institution>Duke University Medical Center</institution>
</aff>
<aff id="af4">
<label>4</label>
<institution>Duke Global Health Institute</institution>
,
<addr-line>Durham, North Carolina</addr-line>
</aff>
<aff id="af5">
<label>5</label>
<institution>Mawenzi Regional Hospital</institution>
</aff>
<aff id="af6">
<label>6</label>
<institution>Machame Designated District Hospital</institution>
</aff>
<aff id="af7">
<label>7</label>
<institution>Kilema Designated District Hospital</institution>
</aff>
<aff id="af8">
<label>8</label>
<institution>Kibosho Designated District Hospital</institution>
,
<addr-line>Moshi</addr-line>
,
<country>Tanzania</country>
</aff>
</contrib-group>
<author-notes>
<corresp>Correspondence: Habib O. Ramadhani, MD, MHS, MPH, Doctoral Student, Infectious Diseases Epidemiology, Department of Epidemiology, University of North Carolina, Gillings School of Global Public Health, 1301 McGavran-Greenberg Bldg, Campus Box 7435 Chapel Hill, NC 27599 (
<email>homari@email.unc.edu</email>
).</corresp>
</author-notes>
<pub-date pub-type="collection">
<month>9</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>09</day>
<month>9</month>
<year>2014</year>
</pub-date>
<volume>1</volume>
<issue>2</issue>
<elocation-id>ofu079</elocation-id>
<history>
<date date-type="received">
<day>19</day>
<month>6</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>8</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/">http://creativecommons.org/licenses/by-nc-nd/4.0/</ext-link>
), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="ofu079.pdf"></self-uri>
<abstract abstract-type="precis">
<p>Adherence to first-line ART is an important predictor of adherence to second-line ART. Improving adherence prior to switch is critical to improve patient outcomes.</p>
</abstract>
<abstract>
<sec>
<title>Background</title>
<p> Adherence to first-line antiretroviral therapy (ART) may be an important indicator of adherence to second-line ART. Evaluating this relationship may be critical to identify patients at high risk for second-line failure, thereby exhausting their treatment options, and to intervene and improve patient outcomes.</p>
</sec>
<sec>
<title>Methods</title>
<p> Adolescents and adults (
<italic>n</italic>
= 436) receiving second-line ART were administered standardized questionnaires that captured demographic characteristics and assessed adherence. Optimal and suboptimal cumulative adherence were defined as percentage adherence of ≥90% and <90%, respectively. Bivariable and multivariable binomial regression models were used to assess the prevalence of suboptimal adherence percentage by preswitch adherence status.</p>
</sec>
<sec>
<title>Results</title>
<p> A total of 134 of 436 (30.7%) participants reported suboptimal adherence to second-line ART. Among 322 participants who had suboptimal adherence to first-line ART, 117 (36.3%) had suboptimal adherence to second-line ART compared with 17 of 114 (14.9%) who had optimal adherence to first-line ART. Participants who had suboptimal adherence to first-line ART were more likely to have suboptimal adherence to second-line ART (adjusted prevalence ratio, 2.4; 95% confidence interval, 1.5–3.9).</p>
</sec>
<sec>
<title>Conclusions</title>
<p> Adherence to first-line ART is an important predictor of adherence to second-line ART. Targeted interventions should be evaluated in patients with suboptimal adherence before switching into second-line therapy to improve their outcomes.</p>
</sec>
</abstract>
<kwd-group>
<kwd>adherence</kwd>
<kwd>antiretroviral</kwd>
<kwd>HIV</kwd>
</kwd-group>
<counts>
<page-count count="7"></page-count>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>cover-date</meta-name>
<meta-value>Summer 2014</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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